LAURA BRIDGIT CLAY DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046120

License Status

EXPIRED

Business

First Name

LAURA

Middle

BRIDGIT

Last Name

CLAY

Suffix

Business Name

LAURA BRIDGIT CLAY DO

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006